WATERVILLE HIGH SCHOOL CROSS COUNTRY
HOMECOMING 5K RUN WHEN: SATURDAY 10/11/2008 @ 9 A.M.
WHERE: WATERVILLE HIGH SCHOOL
BROOKLYN AVENUE; WATERVILLE
CONTACT: kcoughlin@fc.wtvl.k12.me.us or 873-2751 ext 2798
T-SHIRTS TO THE FIRST 25 REGISTRANTS!
AWARDS AND DOOR PRIZES IMMEDIATELY FOLLOWING THE EVENT
NON REFUNDABLE ENTRY FEE OF $15 BEFORE 10/11/2008, $20 THE DAY OF THE RACE.
FAMILY RATE OF $50 AVAILABLE FOR FOUR OR MORE PARTICIPANTS IF RECEIVED BY 10/10/2008
RACE DAY REGISTRATION FROM 8-8:45 A.M.
EVENT TO BENEFIT THE WATERVILLE HIGH SCHOOL CROSS COUNTRY TEAM
AWARDS TO THE TOP 3 MALE AND FEMALE FINISHERS IN THE FOLLOWING AGE GROUPS: 14 AND UNDER, 15-18, 19-39, 40+
PLEASE PRINT CLEARLY – ONE ENTRY PER FORM
Name:_____________________________________Phone:_________________
Address:___________________________________ Male:_____Female:_____
City:________________________State:__________Zip:______Age:________
Circle Shirt Size: S M L XL
Please mail entry with check payable to: Waterville Cross Country Boosters
Mail to: Koren Coughlin; One Brooklyn Avenue; Waterville High School;
Waterville, Maine 04901
I know that running a road race is a potentially hazardous activity. I should not enter and run unless I am physically and medically able to run, and am properly trained. I agree to abide by any decision of a race official relative to my ability to safely enter and complete the run. I assume all risks associated in running in this event, including, but not limited to: falls, contact with other participants, effects of the weather (including high heat and humidity), traffic and the conditions of the road, all such risks being known and appreciated by me. Having read this waiver an knowing these facts and in consideration of Waterville High School Cross Country Boosters accepting this entry, I waive and release Waterville High School, Waterville High School Cross country Teams and their Boosters, the City and Town officials and all sponsors, their representatives and successors for all claims and liabilities of any kind arising out of my participation in this event.
Signature:___________________________________Date:____________________
(Parent’s signature if under 18)